Q:

A 70 year old patient comes with swelling in the parotid region for the last 10 years. Exam: gland is soft and cystic. Choose the most probable diagnosis?

waelhammad
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2022-11-03
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A 70 year old patient comes with swelling in the parotid region for the last 10 years. Exam: gland is soft and cystic. Choose the most probable diagnosis?

  1. Pleomorphic adenoma
  2. Carcinoma of the salivary glands
  3. Mikulicz’s disease
  4. Adenoid cystic carcinoma
  5. Parotid duct stones
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waelhammad
2022-11-03
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The key is D. Adenoid cystic carcinoma. [Pleomorphic adenoma is firm in consistency not soft and cystic. Also adenoid cystic carcinoma progresses slowly and 15 year survival is 40%].

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